Support From the Inside Out


Hormone therapy designed to support both mental and emotional wellbeing. Coming Soon!

Hormones don’t just affect the body — they play a powerful role in mood, focus, sleep, and energy. For individuals with mental health diagnoses, imbalances in estrogen, progesterone, testosterone, or thyroid function can worsen psychiatric symptoms or make them harder to treat. At Breakthrough HQ, we integrate hormone replacement therapy into psychiatric care to support long-term emotional stability, clarity, and quality of life.

Our Approach

Psychiatric Perspective

We evaluate hormone health through the lens of psychiatry. Hormonal changes can worsen depression, anxiety, irritability, sleep problems, and concentration issues. By considering hormone balance alongside psychiatric treatment, we provide more comprehensive care.

Individualized Care

Treatment is guided by psychiatric and medical history, lab testing, symptoms, and your personal goals. Plans are tailored to support mental wellness, energy, and resilience.

Whole-Person Support

We combine HRT with recommendations for nutrition, sleep, stress management, and lifestyle factors — addressing the interconnected systems that influence mental health.

Women’s HRT

When Hormones Impact Mental Health

  • Mood swings, anxiety, or depression related to perimenopause or postpartum changes

  • Worsening of premenstrual dysphoric disorder (PMDD)

  • Sleep disturbances and fatigue tied to hormone shifts

  • Cognitive changes such as brain fog or reduced concentration

Treatment Options

Bioidentical estrogen and progesterone may be used to restore balance, always customized to your needs and closely monitored for safety.

Men’s HRT

When Hormones Impact Mental Health

  • Irritability, low mood, or reduced motivation with low testosterone

  • Fatigue and reduced stamina affecting focus and productivity

  • Sleep issues that worsen psychiatric symptoms

  • Cognitive changes such as brain fog or poor concentration

Treatment Options

Bioidentical testosterone therapy may be used, monitored with regular labs to ensure both safety and effectiveness.

Thyroid Optimization

Why Thyroid Health Matters

Thyroid hormones regulate energy, mood, and cognition. Low or imbalanced thyroid function can mimic or worsen psychiatric conditions such as depression, anxiety, and fatigue.

Treatment Options

When thyroid imbalance is identified, treatment may include thyroid optimization strategies designed to improve energy, mood stability, and overall mental health.

What to Expect

  • Number 1

    Initial Consultation

    (60 minutes)

    We’ll review your psychiatric and medical history, symptoms, and goals. Labs are ordered to evaluate hormone levels, including thyroid function.

  • Number 2

    Follow-Up Appointments

    Your provider will integrate hormone replacement therapy with psychiatric care. Treatment may include bioidentical estrogen, progesterone, testosterone, or thyroid optimization, depending on your needs and lab results.

  • Number 3

    Ongoing Monitoring

    (30 minutes)

    Follow-up appointments and routine lab testing (every 3–6 months) ensure treatment is safe, effective, and aligned with your psychiatric and wellness goals.

Benefits of HRT May Include

  • More stable mood and reduced anxiety

  • Improved sleep quality

  • Increased energy and motivation

  • Enhanced concentration and memory

  • Support for emotional resilience

  • Better regulation of metabolism through thyroid optimization

Why Choose Breakthrough HQ

  • Integrative psychiatry practice with expertise in both mental health and hormone health

  • Focus on how hormones influence mood, sleep, energy, and psychiatric symptoms

  • Individualized treatment with evidence-based prescribing and regular monitoring

  • A modern, supportive environment designed to reduce stigma and prioritize your whole self

Frequently Asked Questions

  • HRT may be appropriate for men or women experiencing mental health symptoms linked to hormone imbalances, such as mood changes, fatigue, or sleep disturbances.

  • Yes, when monitored with labs and prescribed thoughtfully. We follow evidence-based guidelines and regularly review your plan.

  • We typically use bioidentical estrogen, progesterone, or testosterone, depending on your needs and lab results.

  • No. HRT is designed to complement — not replace — psychiatric treatment. We integrate both for the best outcome.

Take the Next Step


If you’re interested in exploring how hormone replacement therapy and thyroid optimizationcan support your mental health, we’re here to help.